HomeMy WebLinkAbout0034858-Electric (a/c)
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34858
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
TYPE: BLDG 0 HTG 0 ELEC W PLBG 0 SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
/02.0
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
(';EUc/tJe.
t
Fixtures
New 0 Change 0 Temp 0 Type _ Volts _ Amps_
Switches X Receptacles Circuits .X
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Electric Servo
PLUMBING CONTRACTOR
_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _DW _DF _ San. Sewer
_WC _FDr _SP _Ur _ Storm Sewer
_Sink. _ L Tub _ Eject _SS _ Water
Other
I
Permit Fee Paid $ ( ~. ())) /
Date 7 -/ l.f ---~3
Park Dedication $
Final/O.P. 7-/'-/ --9' ?
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ISSUED B
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
TELEPHONE #
PERMIT" NO. )
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CHANGE TEMP .
VOLTS AMPS
RECEPT' S CIRC' S :><"
ELEC. CONTR.
OWNER
ADDRESS
'NATURE OF WORK
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.ELEC. SERV. NEW
QESC. TYPE
FIX'S SW'S
APPLIANCES
SIGNS
INSP. ROUGHIN
EST. COST
REMARKS
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SERVICE
PERMIT FEE,